1. For the second time in a 1-month period, a 32-year-old male…

Question Answered step-by-step 1. For the second time in a 1-month period, a 32-year-old male… 1. For the second time in a 1-month period, a 32-year-old male presented to his PCP with worsening fatigue, anhedonia, loss of appetite, sleep disturbance, and an inability to concentrate at work. Based on these symptoms and the patient’s medical history, the physician suspected major depression. At his earlier visit, the patient declined a prescription for a selective serotonin reuptake inhibitor (SSRI), expressing concerns about side effects and dependency. In the current visit, the patient agreed to try the SSRI. However, in further discussion, he raised more questions about its benefits and safety risks.”I’ve heard that St John’s wort is a natural alternative to drugs for depression,” he said. “One of my friends takes it, and she claims that it’s just as effective as regular prescription medicine, but it doesn’t cause any side effects. Should I be taking St John’s wort instead of a drug?”How would you answer this question and why?2. Lilly is a 32-year-old female who presents today with “having a hard time urinating.” She reports burning on urination, urinary frequency, and pain, and difficulty urinating. She has been experiencing these symptoms for the past 3 days. She denies vaginal discharge or bleeding, nausea or fever. She increased her fluid intake over the last 3 days and added cranberry juice but the symptoms have not improved. She reports having a UTI one year ago and was treated with an antibiotic, but she can’t recall which one. She is married, has 3 children, has no known allergies, and currently takes no medications. On exam the patient appears in no distress, Temp 99, HEENT unremarkable, abdomen soft, non-tender, + bowel sounds in all 4 quadrants, GYN, no lesions, discharge, or cervical motion tenderness. Cervix normal.┬áThe results of her urine specimen are: Ketones negative, Protein trace, Nitrite trace, RBC negative, Bacteria 5+.┬áBased on t Health Science Science Nursing NURSING MS 554 Share QuestionEmailCopy link Comments (0)